Staci N Kenner in Cartersville - Obstetrics & Gynecology

Staci N Kenner - NPI 1104088061

Staci N Kenner is a Obstetrics & Gynecology in Cartersville, Georgia. Staci N Kenner practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Staci N Kenner is 1104088061. The last update date is 2013-12-13.

Staci N Kenner's current location address is 95b-a, J.f. Harris Pkwy, Cartersville, Georgia. You can contact this provider via phone number 7703864824 and fax number 7703864220. The mailing address for Staci N Kenner is 95b-a, J.f. Harris Pkwy, Cartersville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci N Kenner
Address 95b-a, J.f. Harris Pkwy, Cartersville, Georgia
Phone Number 7703864824
Fax Number 7703864220
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104088061
Provider Enumeration Date 2008-07-01
Last Updated Date 2013-12-13

Provider Mailing Address Detail

Address 95b-a, J.f. Harris Pkwy
City Cartersville
State Georgia (GA)
Post Code 301202158
Phone Number 7703864824
Fax Number 7703864220

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No BPI0030889
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00312B113A GA --

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FAQs about Staci N Kenner

What is the unique identifier code issued to Staci N Kenner by the Centers for Medicare & Medicaid Services (CMS)?

The Staci N Kenner has been assigned the NPI (National Provider Identifier) 1104088061. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Staci N Kenner?

The Staci N Kenner is situated at 95B-A, J.F. Harris Pkwy, in the city of Cartersville, state of GA, with the zip code 301202158.

What is Staci N Kenner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Staci N Kenner is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.

On what date was the 1104088061 assigned to Staci N Kenner?

The Staci N Kenner was issued its 1104088061 on 2008-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Staci N Kenner most recently updated or revised?

The information pertaining to Staci N Kenner, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-13.

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